Miraj Kishor Sanghvi, DDS,MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

53943 Issued in CA

Practice address

756 Porter Ave
Suite 400
Stockton, CA 95207-4232

Phone

(209) 951-6387

NPI assigned

Jul 2, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Payne Sanghvi Oral and Maxillofacial SurgeryGroup PAC ID 7315176880, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Payne Sanghvi Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Stockton, CA
  • NPI 1588909964
  Medicare reassignment Care Compare group NPD
• Bunch-Payne, Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Stockton, CA
  • NPI 1699818872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1346403169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 PORTER AVE",
            "address_2": "SUITE 400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074232",
            "telephone_number": "209-951-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 PORTER AVE",
            "address_2": "SUITE 400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074232",
            "telephone_number": "209-951-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHVI",
        "first_name": "MIRAJ",
        "middle_name": "KISHOR",
        "credential": "DDS,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53943",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A115872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Gilbert Sangary
• Amandeep K Sangha, DDS
• Rajbeer Sangha, MD
• Manbir Sanghera
• Navjot Sanghera, CRNA
• Richard Sanguinetti, MSW
• Sanjeev K. Goswami, MD, Inc.
• Carmella Sanmiguel
• Derek Matthew Santa Cruz
• Daniella Santana

• Oral and Maxillofacial Surgery (Dentist) in Stockton, CA
• Providers in Stockton, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.